Table 2.
County | Dingyuan | Weiyuan |
---|---|---|
Payment type | Global budget (capitation prepayment); Payment for single disease (quota standard) |
Global budget (specific diseases); Payment for single disease (quota standard) |
Appropriateness treatment of disease range | 150 + N in county hospitals, 50 + N in township hospitals |
170 in county hospitals, 60 in central township hospitals 50 in general township hospitals |
quota standard | Average cost in the past three years | Average cost in the past three years |
Principle of cost reimbursement | 85% for county hospitals (quota standard) 90% for township hospitals (quota standard) |
If actual cost < quota standard, 70% for county hospitals (autual cost) 80% for township hospitals (autual cost); If actual cost > quota standard, 70% for county hospitals (quota standard) 80% for township hospitals (quota standard) |
Single payment limitation | - | 15,000 RMB for county hospitals 3,000 RMB for township hospitals |
Annual Payment Limitation | 200,000 RMB | 80,000 RMB |
N means that hospitals can expand other diseases range according to their medical capabilities. RMB, ren min bi.